Individual provider Active NPI

Myriam Diatta, NP

  • Family Nurse Practitioner
  • Laurel, MD
National Provider Identifier
1982121976
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R187091 Issued in MD
Practice address
14502 Greenview Dr # 500L21
Laurel, MD 20708-3287
Phone
(301) 728-3574
Fax
(940) 514-9077
NPI assigned
Aug 29, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R187091 MD Primary

Addresses

Primary practice location

14502 Greenview Dr # 500L21
Laurel, MD 20708-3287

Mailing address

14502 Greenview Dr
Laurel, MD 20708-3287
Phone (301) 728-3574

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180326000213 DC Practitioner - Nurse Practitioner 1456613884 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R187091MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Feb 28, 2018 Accepting new patients
Privia Medical Group, LLC CurrentSince Feb 28, 2018 Accepting new patients
Privia Care Center LLC CurrentSince Oct 4, 2018 Accepting new patients
My Health, LLC CurrentSince Jun 15, 2021 Accepting new patients
Privia Care Center LLC CurrentSince Oct 4, 2018 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

4910 Massachusetts Ave NW
Ste 114
Washington, DC 20016
Phone (202) 244-0812

818 W Diamond Ave
Ste 130
Gaithersburg, MD 20878
Phone (301) 762-7723

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

14502 Greenview Dr
#500L21
Laurel, MD 20708
Phone (301) 728-3574

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23483/brand/1/csg/1/fhir/r4

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1503964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1982121976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14502 GREENVIEW DR",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207083287",
            "telephone_number": "301-728-3574",
            "fax_number": "940-514-9077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14502 GREENVIEW DR # 500L21",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207083287",
            "telephone_number": "301-728-3574",
            "fax_number": "940-514-9077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIATTA",
        "first_name": "MYRIAM",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-29",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R187091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

Verify at the official NPI Registry.